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Relationships among quality, safety, and costs

There is a weak and complex relationship between cost, safety and quality. Many people link high costs to high-quality services and true, yet this is simply a myth. People can afford high-quality services at the lowest costs about the input involved while also ensuring that the client’s safety of high priority. Low-cost services on the same note do not necessarily have to be of poor quality services or a service that is less safe for the patients. Therefore, the nursing/ physician staff including the directors of a health facility has to be aware that there is no strong and direct relationship between safety, costs and quality of services that they provide (Quality and Safety Education for Nurses, 2013).

By looking at matters of quality, safety and cost standards of health care, nurses play a central role in forming that relationship (American Association of Colleges of Nursing, 2012). Each healthcare organization has certain standards in ensuring the safety and quality are available to all such as emergency exit and a safe environment for working. Outcome variables for such standards will comprise of support staff and directors in ensuring the running of the safety programs, cleanliness at work, communication, dealing with conflicts and feedback on matters of safety.

In dealing with the patient case involving Mr. Lowell at St. Louis Medical Center I will inform the staff and director that there is the need for this hospital to develop and adhere to the standards of safety and quality. The importance of St. Louis Medical Center to ensure patient safety is to prevent harm such as infections during surgeries and negative outcomes of poor care. The hospital needs to realize that these infections mean higher costs of care and patients having to pay more than what they would have. It is, therefore, the task of the director and staff members to ensure that they follow quality management systems in promoting patient safety and reducing medical errors and adverse events at this healthcare organization since they are highly costly (Encinosa and Hellinger 2008). When patients are sure that they will receive high-quality services at low costs they will be psychologically be satisfied with our services and will not hesitate to visit and refer other patients to this healthcare facility. Thus, there is a direct relationship between cost safety and quality as demonstrated in the ability of a patient to receive a high quality and safe services without medical errors and infections that will require the patient to pay additional costs.

The outcome variables include psychological and health wellness of the patient continued revenues for the healthcare facility and good public image for the hospital that guarantees its sustainability. The safety and high-quality culture in the hospital is a product of a group and individual values, competencies, perceptions, attitude and behavioral patterns that determine the commitment of all staff and directors towards safety, quality, and costs of services that they offer. Thus, organization’s health, staff, and directors proficiency and style and safety management have to be implemented to ensure that patients are satisfied with the services provided by St. Louis Medical Center (Stone, et al. 2007). The new paradigm will focus on the general health care systems and not individual errors. The system is necessary to enhance and facilitate the protection of patients and the provision of quality services at a low cost.



American Association of Colleges of Nursing. (2012). Graduate-level QSEN competencies: Knowledge, skills, and attitudes.

Encinosa W and Hellinger F (2008), The Impact of Medical Errors on Ninety-Day Costs and Outcomes Examination of Surgical Patients, HSR: Health Services Research, Vol.9999, No.9999, pp. 1-19

Stone, P, Kane M., Larson, L., et al. (2007),Nurse Working Conditions, Organizational Climate, and Intent to Leave in ICUs: An Instrumental Variable Approach, Health Services Research, Vol.42, No.3, pp. 1085-1104

Quality and Safety Education for Nurses. (2013). Project overview.

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